A quantitative analysis of Tākiri Mai Te Ata Whānau Ora Collective Kokiri Hauora response for the community during and following the COVID-19 ...
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A quantitative analysis of Tākiri Mai Te Ata Whānau Ora Collective Kokiri Hauora response for the community during and following the COVID-19 Lockdown 2020 Report prepared by Stella Vickers (Department of Public Health, University of Otago, Wellington) Cheryl Davies (Tu Kotahi Māori Asthma and Research Trust) Jane Hopkirk (Tākiri Mai Te Ata Trust) December 2020 Updated 1st March 2021
2 Contents Figures......................................................................................................................................................................................... 4 Tables .......................................................................................................................................................................................... 4 He mihi nui – Acknowledgements ................................................................................................................................... 7 Introduction ........................................................................................................................................................................... 11 Tākiri Mai Te Ata Whānau Ora Collective.................................................................................................................. 13 The Common Unity Project Aotearoa – The Remakery ....................................................................................... 13 Moving forward with The Remakery ..................................................................................................................... 15 Other Supporting Agencies .............................................................................................................................................. 16 Whānau Ora Commissioning Agency (WOCA) ................................................................................................... 16 Regional Public Health.................................................................................................................................................. 17 Ministry of Social Development ................................................................................................................................ 17 Well Homes ....................................................................................................................................................................... 17 Rimutaka Prison .............................................................................................................................................................. 18 Kaibosh ............................................................................................................................................................................... 19 Te Runanganui o Taranaki Whanui ki Te Upoko o Te Ika ............................................................................. 19 Countdown ........................................................................................................................................................................ 20 The Church of Jesus Christ of Latter-day Saints ................................................................................................. 20 Ngāti Toa Rangatira (Ora Toa Health Services) ................................................................................................. 20 Wellington School of Medicine researchers and Give a Little page ........................................................... 20 Hutt Valley District Health Board ............................................................................................................................ 20 Capital Coast District Health Board......................................................................................................................... 21 Hutt City Council ............................................................................................................................................................. 21 Wellington Community Trust .................................................................................................................................... 21 Support provided by Tākiri Mai - Kokiri Hauora ................................................................................................... 22 Pataka Kai – Kokiri Hauora.............................................................................................................................................. 27 Providing a crucial distribution mechanism ............................................................................................................ 28 Reaching out to people with housing insecurity .................................................................................................... 28 Communication Channels ................................................................................................................................................ 29 Who accessed Tākiri Mai - Kokiri Hauora support?.............................................................................................. 29
3 Information About Whānau ....................................................................................................................................... 29 Recording of data ....................................................................................................................................................... 31 Scope of the analysis ..................................................................................................................................................... 32 An events-based approach rather than a whānau-based approach ..................................................... 32 Evaluation questions that guided the analysis ................................................................................................... 33 Data reformatting and cleaning ........................................................................................................................... 33 Delivery of sanitation packs ....................................................................................................................................... 34 Ethnicity analysis on a subset of whānau data .............................................................................................. 50 Pataka Kai Deliveries..................................................................................................................................................... 54 Delivery of MSD kai meals........................................................................................................................................... 63 Delivery of Kai from the Remakery ......................................................................................................................... 65 Tu Kotahi Māori Asthma and Research Trust ..................................................................................................... 68 Tu Kotahi Māori Asthma and Research Trust and ............................................................................................ 69 Well Homes ....................................................................................................................................................................... 69 Whānau Ora Commissioning Agency Whānau Direct ..................................................................................... 70 Homelessness Prevention Kai vouchers ............................................................................................................... 72 Flu Immunisations for Hard to Reach Population............................................................................................. 73 Kohanga Deliveries ........................................................................................................................................................ 75 Summary ................................................................................................................................................................................. 77 References .............................................................................................................................................................................. 79 Appendix A ............................................................................................................................................................................. 80 Data Confidentiality Agreement: COVID-19 analysis project .................................................................. 80
4 Figures Figure 1 Support for Tākiri Mai Te Ata COVID-19 response - The Remakery is Part of the Common Unity Project Aotearoa ...................................................................................................................................................... 10 Figure 2 Thanks from tamariki at Pukeatua School .............................................................................................. 10 Figure 3 Te Whare o te Kotahitanga Common Unity Project - The Remakery........................................... 14 Figure 4 Remakery kai meals ......................................................................................................................................... 14 Figure 5 Pictured left to right: Dina Awarau (Well Homes Programme Co-ordinator), Steve Luey (Manager Industries, Rimutaka Prison) and Cheryl Davies (Manager, Tu Kotahi Māori Asthma and Research Trust). ................................................................................................................................................................... 18 Figure 6 DHB visit Pataka Kai: From left to right Keri Brown(DHB) and tamariki, Dominique Va’a, Andrew Blair(DHB), Ken Laban(DHB), Renee Davies, Fionnagh Dougan(CE, DHB), Josh Briggs(DHB), Janis Awatere and Kerry Dougall...................................................................................................... 20 Figure 7 Mayor of Lower Hutt Campbell Barry and Janis Awatere coordinator of the Pataka Kai with a volunteer in the background ....................................................................................................................................... 21 Figure 8 Tākiri Mai Te Ata framework ....................................................................................................................... 22 Figure 9 Kai being collected and assembled into packs for whānau.............................................................. 23 Figure 10 Support included hanging out washing for kaumātua .................................................................... 23 Figure 11 Flu Immunisations were delivered to the door of whānau ........................................................... 24 Figure 12 Packs ready to go and kaimahi in action ............................................................................................... 25 Figure 13 14 Pictured left to right: Dina Awarau (Well Homes Programme Co-ordinator), Steve Luey (Manager Industries, Rimutaka Prison) and Cheryl Davies (Manager, Tu Kotahi Māori Asthma Trust) and some of the blankets given. .................................................................................................................................... 25 Figure 15 Sanitation packs .............................................................................................................................................. 26 Figure 16 Support included hanging out Kaumātua washing and even our own Rangatahi helped 26 Figure 17 Pataka Kai .......................................................................................................................................................... 27 Figure 18 Teresea Olsen General Manager ............................................................................................................... 27 Figure 19 MSD frozen meals ........................................................................................................................................... 28 Figure 35 The Prime Minister visit to congratulate kaimahi on their response ....................................... 78 Tables Table 1 COVID-19 Timeline ............................................................................................................................................. 11 Table 2 Alert level 4 - 3 The majority of sanitation packs were delivered in Lower Hutt .................... 34 Table 3 All Sanitation Packs deliveries by city ........................................................................................................ 35
5 Table 4 Alert level 3-4 Large proportions of whānau receiving sanitation packs lived in Wainuiomata, Naenae, or Taita...................................................................................................................................... 36 Table 5 All Sanitation Packs Delivered by Suburb to Upper and Lower Hutt ............................................ 37 Table 6 All Sanitation Packs delivered to in Lower Hutt by Suburb .............................................................. 38 Table 7 All Sanitation Packs Wainuiomata, Naenae and Taita ......................................................................... 39 Table 8 Suburbs Packs delivered to exclusive of Naenae, Taita or Wainuiomata .................................... 39 Table 9All Sanatation Packs Numbers of deliveries to Upper Hutt suburbs .............................................. 40 Table 10 All Sanitation Pack Deliveries by NZDep2018...................................................................................... 41 Table 11 Sanitation Pack Deliveries by NZDep2018 7 to 10 ............................................................................. 42 Table 12 All Sanitation Packs to emergency, homeless or confidential addresses .................................. 42 Table 13 All Sanitation Packs by health issues........................................................................................................ 43 Table 14 All Sanitation Packs Other health conditions ........................................................................................ 45 Table 15 Alert level 4-3 More than 4,500 people from Lower Hutt benefited from receiving a Sanitation Pack ..................................................................................................................................................................... 46 Table 16 Alert level 4-3 Many households had 5 or fewer whānau members in them .......................... 46 Table 17 Total of individuals delivered to ................................................................................................................ 47 Table 18 All Sanitation Packs by Age group of Household Members ............................................................ 48 Table 19 All sanitation Packs Household size by Members and percentages ............................................ 48 Table 20 All Sanitation Packs by Household Size Hutt Valley........................................................................... 49 Table 21 All Sanitation Packs by Average household size for Hutt Valley................................................... 50 Table 22 All Sanitation Packs Household Size Naenae, Taita and Wainuiomata ...................................... 50 Table 23 Alert level 4-3 Many people who did not identify as Māori were supported during Alert levels 4 and 3 lockdown.................................................................................................................................................... 51 Table 24 All Sanitation Packs The primary contact Ethnicity........................................................................... 52 Table 125 Those who reported Iwi reported these Iwi....................................................................................... 53 Table 26 All Kai Deliveries to cities.............................................................................................................................. 55 Table 27 Kia deliveries to the Hutt Valley by suburb ........................................................................................... 56 Table 28 Kai Packs to all Lower Hutt suburbs except Naenae, Taita or Wainuiomata........................... 57 Table 29 Kai pack deliveries to Naenae, Taita and Wainuiomata ................................................................... 58 Table 30 Kai Delivery to Whānau in Emergency of Confidential Accommodation .................................. 58 Table 31 Kai Deliveries by Ethnicity............................................................................................................................ 59 Table 32 Kai Deliveries by Iwi........................................................................................................................................ 60 Table 33 Kai Deliveries by Size of Household.......................................................................................................... 61
6 Table 34 Whānau in households by number in home .......................................................................................... 62 Table 35 Kai Deliveries by Age Group......................................................................................................................... 62 Table 36 MSD deliveries by City .................................................................................................................................... 63 Table 37 MSD deliveries by suburb in Lower Hutt................................................................................................ 64 Table 38 Size of packs sent out ...................................................................................................................................... 65 Table 39 Remakery Deliveries by City ........................................................................................................................ 66 Table 40 Age groups of those meals were given to ............................................................................................... 66 Table 41 Remakery Kai packs to suburb ................................................................................................................... 67 Table 42 Asthma Packs ..................................................................................................................................................... 68 Table 43 Tu Kotahi and Well Homes blanket contribution................................................................................ 69 Table 44 Whānau Ora Commissioning Agency Whānau Direct summery from the first report of the period and the whānau domain that improved because of the kai given .................................................... 71 Table 45 Whānau Ora Commissioning Agency Whānau Direct summery from the second report .. 71 Table 46 Homelessness Prevention Delivery Date and Numbers of Kai Vouchers.................................. 72 Table 47 Homeless Prevention Household Numbers ........................................................................................... 72 Table 48 Flu vacines for whānau from these Health Services .......................................................................... 73 Table 49 Flu Immunisations by suburb ..................................................................................................................... 74 Table 50 Kohanga deliveries by suburb..................................................................................................................... 75 Table 51 Number of individuals per household ..................................................................................................... 76
7 He mihi nui – Acknowledgements Nāku te rourou, nāu te rourou, ka ora ai te iwi With your food basket and my food basket, the people will thrive This whakatauki fittingly describes the significant collective response by Kokiri Marae, Tākiri Mai Te Ata Whānau Ora Collective (Tākiri Mai) and their communities during and following the COVID- 19 lockdown period. Tākiri Mai - Kokiri Hauora whānau ora approach has been key to providing much needed outreach support to the Whanganui-a-Tara communities. It became evident very early on in Alert Level 4 that support needed to be provided “close to the ground”. This holistic approach enabled key services, resources and support to be delivered to over 29,989 whānau/families in the wider Whanganui-a-Tara region. Unsurprisingly, the majority of requests for support were for kai parcels, the rapid rise in requests can be seen in the data sets during Alert Levels 4 and 3. The leadership and management provided by Tākiri Mai - Kokiri Hauora General Manager (GM) and Managers was a significant enabler in achieving equity and wellbeing for those most impacted by COVID-19. The GM established a kawa early on that ensured all services and support would be provided utilising a “mana enhancing” approach. Whānau were not required to be assessed or “meet a criteria” to access support. Tākiri Mai - Kokiri Hauora kaimahi also used the same premise that as essential workers, they were privileged to be working under the maru of a “mana enhancing” approach for their communities. Lastly, this is an opportunity to acknowledge and thank all those individuals, agencies and groups who contributed in a meaningful way to ensure our communities were well supported during the recent COVID-19 Alert Levels 4, 3 and 2. Whānau Ora Commissioning Agency - sanitation packages & Whānau Direct grant Te Roopu Awhaina Packing the Sanitation Packs for delivery The Common Unity Project Aotearoa food, beds, rice, milk, meals, fruit and vegetables - The Remakery Regional Public Health Unit boxes of fruit and vegetables Ministry of Social Development cooked meal packages Well Homes blankets Rimutaka Prison blankets Kaibosh - food for the food bank Te Runanganui o Taranaki Whanui - Boxes of pork and sausages - ki Te Upoko o Te Ika a Maui Countdown - trolleys and bread and milk Bakery - bread
8 Mormon Church - baking Ora Toa - funding to help toward the food bank Wellington School of Medicine researchers koha to help toward the food bank Give a Little page funds to help toward the food bank Victoria University of Wellington Analysed the sanitation pack data for NZDep2018 Capital and Coast District Health Board PPE equipment Hutt Valley District Health Board nursing support Perpetual Guardian Funding to purchase immunisations of pnumovax Hutt City Council Venue for kai packs, kai funding, $5000 kai vouchers Wellington Community Trust Help for Salary of Patakia Kai JR Mckenzie Funding Todd Foundation Funding Wellington Regional Council Food and Blankets - Civil Defence Emergency (HCC EOC Welfare) To all those whānau who have donated money, resources and time as volunteers thank you without your help we would not have been able to provide the level of support we have been able to. Na reira tena koutou, tena koutou, tena koutou katoa Teresea L Olsen General Manager
10 Figure 1 Support for Tākiri Mai Te Ata COVID-19 response - The Remakery is Part of the Common Unity Project Aotearoa Figure 2 Thanks from tamariki at Pukeatua School
11 Introduction This report provides insights into the significant and comprehensive response of Tākiri Mai Te Ata - Kokiri Hauora in responding to community needs during the COVID -19 pandemic in Aotearoa New Zealand. It covers operational data collected between March through to June and August (last Sanitation Pack deliveries) 2020, and there is a follow up analysis which focuses on the time that New Zealand was in Alert Levels 4 and 3 (the “lockdown”). The New Zealand Government facilitated a strongly evidence-informed response to the pandemic by declaring restrictions on social and occupational activity with a graded response as indicated by alert levels. Alert levels 4 and 3 placed significant restrictions on the movements and social and physical interactions of residents to halt the spread of the virus. A summary of what was possible at the different alert levels is available here https://covid19.govt.nz/alert-system/. The pandemic and the resulting alert levels meant that health and social service providers had to change their response to the community, and in many instances, increase the level of support they provided. Table 1 COVID-19 Timeline Timeline of the COVID-19 alert levels at a national level excluding the August-October restrictions in Auckland (and other parts of the country) due to the localised outbreak In the early morning hours, different levels of alert were put into place: Level 4 Thursday 26 March Level 3 Tuesday 28 April Level 2 Thursday 14 May Level 1 Wednesday 12 August (midday) Levels 4 and 3 were in effect a lockdown which prevented a lot of social and work activity from occurring. The higher alert levels of 4 and 3 meant that whānau and individuals were highly restricted in their public lives and in terms of interacting with people outside of their household “bubbles” (a concept which has been clearly understood by the public). Broadly, people could only associate in person for any significant period with people from their own households unless they were considered essential workers. Residents were expected to remain in their homes and on their properties for much of the time, however they were permitted to leave their home to collect groceries, attend important appointments such as visiting a doctor or other healthcare professional, or provide essential support to another person or household. Residents
12 could exercise outdoors but they were expected to physically distance from other people and they were expected to stay within a reasonable distance of their home environment. The “lockdown” had an impact on people’s ability to socialise and access goods and services and a significant number of New Zealanders had to access support or additional support from Work and Income New Zealand or community-based providers such as Tākiri Mai - Kokiri Hauora. Places such as supermarkets (generally) and healthcare centres enhanced their sanitation practices and reduced the number of people who could visit these settings while also encouraging/enforcing physical distancing.
13 Tākiri Mai Te Ata Whānau Ora Collective Since its inception in 1986, this collective included Kokiri Hauora. Keriana Olsen Trust was used as accommodation for street kids, black power gang members, rangatahi on release from Epuni Youth Services, and other youth institutes. For several years, Kokiri Marae has been a Level 1 provider for the Ministry of Social Development (MSD) and taking children into their care from referrals from Oranga Tamariki (OT), over the past 25 years. We have families in the community that are registered with us as caregivers. In 2010 Tākiri Mai te Ata (Tākiri Mai) Whānau Ora Collective was formed. Tākiri Mai is a collective of eight health, social service, education, marae, homelessness, and housing providers, in the Hutt Valley with some services also reaching into the wider parts of the Wellington region. Kokiri Hauora is part of that collective. The Tākiri Mai organisations have been based in the Hutt Valley, working together over the past 30+ years, and have been responsible for the development of a number of services and programmes servicing the wider Wellington region. http://www.takirimai.org.nz/ Tākiri Mai te Ata is a collective that includes: Kokiri Marae Keriana Olsen Trust – Kokiri Hauora is part of this Kokiri Marae Māori Women’s Refuge Mana Wahine Naku Ēnei Tamariki Tu Kotahi Māori Asthma and Research Trust Wainuiomata Marae Whai Oranga o te Iwi Health Centre Aro Mai Housing First Collaboration (joined the collective July 2020) The Common Unity Project Aotearoa – The Remakery https://www.commonunityproject.org.nz/ In April 2020, due to the COVID-19 pandemic crisis, The Common Unity Project Aotearoa (Remakery) and Tākiri Mai - Kokiri Hauora formed a partnership to meet the kai needs for whānau in the Hutt Valley community. Both services had been deemed as Essential Services. Many of the food banks in the valley were forced to close due to their volunteer workforce being at risk and requiring their staff and volunteers to isolate. This relationship formed by the Remakery and Tākiri Mai has been a natural merging of common goals and values that aim to meet the needs of whānau in a way that is strengths based and provides education and support to whānau that offers long term aspirational outcomes.
14 Figure 3 Te Whare o te Kotahitanga Common Unity Project - The Remakery The Remakery and Tākiri Mai te Ata worked together cooking, packaging and delivering organic cooked vegetarian meals to whānau every Tuesday and Friday from the 6th April 2020 to 19th June 2020. Over this period the joint operation delivered 995 kai parcels of varying sizes (small, medium and large) to 2842 individual whānau. This equates to approximately 19000+ individual meals. Figure 4 Remakery kai meals
15 Many of the whānau receiving kai have been kaumātua, whānau living in emergency housing (without the use of a kitchen), whānau who have cancer or other serious illnesses who require healthy kai, whānau who have been affected by the COVID-19 crisis due to loss of employment, etc. From July 2020, the Remakery have continued prepared this kai and are freezing 500 meals per week at the Pātaka Kai who are including these meals in the Kai parcels for whānau. Facebook Tākiri Mai - Kokiri Hauora links to video regarding the Pātaka Kai https://www.facebook.com/KokiriMarae/videos/263075818363841/ https://www.facebook.com/CampbellBarryMayor/videos/2276599082649989/UzpfSTExMjY1Mj Q1NzAxNjQ1OToxNDA5MDUyNTc1MjQ1MTI/ Moving forward with The Remakery Tākiri Mai - Kokiri Hauora have secured premises at St Peters Church on Wise Street in Wainuiomata to establish a permanent Pātaka Kai and Maara Kai to support whānau accessing Tākiri Mai – Kokiri Hauora services who are in need of kai. The relationship we have developed with The Remakery is key to the success of this new service. The Remakery are supporting Tākiri Mai - Kokiri Hauora in the establishment and development of the social enterprise model that will underpin the ongoing sustainability of the Pātaka Kai and Maara Kai Service. The aim is to work together teaching each other and supporting each other in partnership to reach aspirational goals of kai sovereignty for the whānau of Wainuiomata and the Hutt Valley who are accessing the services of Tākiri Mai - Kokiri Hauora. The Tihei Rangatahi programme (a Kokiri Hauora Youth Service) and the local Intermediate and High School will also be a big part of the Pātaka Kai and Maara Kai moving forward. The intention of this service is to act as a Pātaka Kai and to develop sustainable options for kai for whānau. This will include Maara Kai at the venue and at whānau homes. Providing support and education to enable whānau to be more resilient in the face of pandemics, earthquakes, unemployment, cancer, ill health, trauma and other stressors or disasters that whānau may face is paramount. Food Sovereignty is an aim of this new service. For Māori food sovereignty is the practice of ensuring food-secure futures for whānau, independent of multinational and national food systems and in harmony with Te Ao Tūroa (the natural world).
16 Other Supporting Agencies Whānau Ora Commissioning Agency (WOCA) https://whanauora.nz/ The Whānau Ora Commissioning Agency provide a whānau centered approach to wellbeing that is focused on working with the whole whānau so they can realise their own goals and aspirations. The Whānau Ora Commissioning Agency (formerly Te Pou Matakana) established in 2014 supports the aspirations and dreams of whānau “by: commissioning kaupapa that support whānau to achieve their goals. working alongside our Whānau Ora partners to build on the strengths and assets of whānau and their communities. seeking co-investment, co-design and co-production opportunities that support whānau aspirations.”(Whānau Ora,2019 (Whanau Ora Commissioning Agency , 2020)) A news report identified – “ WOCA On Track to Deliver 90,000 Hygiene Packs By End of April the Whānau Ora Commissioning Agency is on track to meet its target and deliver supplies for a total of 90,000 hygiene packs to Whānau Ora distribution centers up and down the North Island by the end of April. It has been a massive job and Whānau Ora workforce have stepped up to the challenge and responded quickly. Over ANZAC Day weekend, many partners were still quietly working away, including Te Roopu Awhina Ki Porirua who completed packing a further 2900 hygiene packs on behalf of their collective in Wellington” (Whanau Ora Commissioning Agency , 2020). This roopu is the collective that Tākiri Mai - Kokiri Hauora belongs to and where our Sanitation packs came from. A further 30,000 packs were delivered following the delivery above, with a total of 120,000 pack delivered to partners throughout Aoteroa.
17 Regional Public Health http://www.rph.org.nz/ Regional Public Health (RPH) is the public health unit for the greater Wellington region (Wairarapa, Hutt Valley and Capital & Coast District Health Boards). Their purpose is to improve and protect the health of the population in the greater Wellington region with a focus on achieving equity. They provided information on the COVID-19 response and gave daily boxes of fruit and vegetables. Ministry of Social Development https://www.msd.govt.nz/what-we-can-do/community/food-secure-communities/ Supporting communities to become food secure while addressing additional demand on foodbanks, food rescue and other community food services resulted in the Ministry of Social Development investing $32 million over two years to provide support for foodbanks, food rescue and other community organisations who are distributing food. Demand for food has significantly increased for foodbanks since COVID-19 restrictions were implemented. Increased levels of unemployment and economic hardship resulted in more people vulnerable to food insecurity. (Ministry of Social Development, 2020) Well Homes http://www.rph.org.nz/public-health-topics/housing-well-homes/ Provides a “free housing assessment … in …[the] home, offers useful tips and advice to stay warm and healthy, save power, and treat and prevent mould. [They] also look at your physical house, discuss health and social support, and check options for housing transfers. [They] … may be able to provide items directly - such as curtains, heaters and bedding – if funding allows. [Well Homes will] … engage landlords around heating, insulation and other upgrades and – for homeowners – [can] check eligibility for large discounts off heating and insulation.Well Homes is a housing coordination service for the Wellington region that brings together Tū Kotahi Māori Asthma [and Research] Trust, Sustainability Trust, Regional Public Health and He Kainga Oranga to deliver one of nine Healthy Housing Initiatives under the Ministry of Health's Rheumatic Fever Prevention programme.” (Regional Public Health, 2020)
18 Rimutaka Prison http://www.rph.org.nz/news-and-events/news-and-media-releases/2020-04-23-nga- mihi-maioha-ki-te-whare-herehere-o-rimutaka/ “The Well Homes partnership (Regional Public Health, Tu Kotahi Māori Asthma and Research Trust, Sustainability Trust and the University of Otago He Kāinga Oranga housing programme) and Rimutaka Prison have enjoyed a long partnership whereby the skills and workmanship of inmates are utilised to provide local whānau with essential items to help keep their homes warm, safe and dry. Over 59 per cent of inmates participate in this employment and industry training, with those involved gaining and developing some useful skills for future opportunities. Some of the products made for the programme have included single and cot bedding sets for tamariki, warm blankets, door snakes, fire bricks and kindling. We know this will make a significant difference to the health and wellbeing of our whānau and communities and again thank the team at Rimutaka for responding to our needs at these difficult and uncertain times” (Regional Public Health, 2020). Figure 5 Pictured left to right: Dina Awarau (Well Homes Programme Co-ordinator), Steve Luey (Manager Industries, Rimutaka Prison) and Cheryl Davies (Manager, Tu Kotahi Māori Asthma and Research Trust).
19 Kaibosh https://www.kaibosh.org.nz/ “Operating in Wellington, the Hutt Valley, Kāpiti and Horowhenua, Kaibosh is New Zealand’s first food rescue organisation. [Kaibosh] link the food industry with community groups that support people in need ensuring that quality surplus food reaches those who are struggling rather than being needlessly discarded. This benefits both our community and our environment. Kaibosh has three branches in Wellington City, Lower Hutt and Paraparaumu. With the help of a dedicated team of more than 270 volunteers, we rescue and sort food seven days a week. We redistribute up to 40,000kg of quality surplus food each month to charities and community groups that support people in need. This is the equivalent of 114,000 meals provided to those who need it most, as well as a 14,400kg reduction in carbon emissions.” (Kaibosh, 2020) Kaibosh provided bulk food and the loan of multiple freezers to store frozen foods. Te Runanganui o Taranaki Whanui ki Te Upoko o Te Ika Mana Whenua for the Hutt Valley supported with kai and volunteers. The runanga donated boxes of meat which were included in the whānau food boxes.
20 Countdown Wainuiomata Countdown the local supermarket provided significant support to the provision of kai with bread, trollies given, and some support was also given by Lower Hutt Countdown. The Church of Jesus Christ of Latter-day Saints The Wainuiomata Mormon Church helped the response with gifts of kai and volunteers to support the response. Ngāti Toa Rangatira (Ora Toa Health Services) Ngāti Toa Iwi has a large community health services and supported with funding for the response. Wellington School of Medicine researchers and Give a Little page “The research groups within the [University of Otago] at the Wellington campus carry out a range of research on critical public health issues. These [areas] include cancer and screening, healthy eating, health services research and prioritisation, housing, sustainability and the environment, inequalities, infectious diseases, Māori health and tobacco.” (University of Otago, Wellington, 2020) Tu Kotahi and Wellington School of Medicine have a long-standing partnership that supports ongoing research with Māori in Tākiri Mai - Kokiri Hauora services. This resulted in the School of Medicine researches supporting a Give-a-Little page to support the efforts Tākiri Mai - Kokiri Hauora delivered in the response to COVID-19. Hutt Valley District Health Board Figure 6 DHB visit Pataka Kai: From left to right Keri Brown(DHB) and tamariki, Dominique Va’a, Andrew Blair(DHB), Ken Laban(DHB), Renee Davies, Fionnagh Dougan(CE, DHB), Josh Briggs(DHB), Janis Awatere and Kerry Dougall
21 The Hutt Valley District Health Board work with other health care providers to plan, fund, and provide a range of healthcare services for people in the Hutt Valley. They provided nurses to support the Flu immunisations of whānau. Capital Coast District Health Board Capital Coast District Health Board supported this response by providing personal protective equipment for the immunisations completed, Hutt City Council Figure 7 Mayor of Lower Hutt Campbell Barry and Janis Awatere coordinator of the Pataka Kai with a volunteer in the background As the local authority they were interested in Tākiri Mai - Kokiri Hauora response to COVID-19 and supported with a large venue for the foodbank operations that enabled bulk deliveries, storage and preparing the food parcels. The council also donated money to help purchase the resources needed. Wellington Community Trust https://wct.org.nz/ This funder is an organisation supporting communities in the Wellington region. They established a special fund for the COVID -19 response. An application was successful to support the ongoing staffing of the Pataka Kai.
22 Support provided by Tākiri Mai - Kokiri Hauora Tākiri Mai - Kokiri Hauora and its programmes provided a significant amount of support to the community. People who had already accessed Tākiri Mai - Kokiri Hauora programmes were aware of its presence in the community, and word spread to many other people who had never interacted with Tākiri Mai - Kokiri Hauora before. Utilising the values of the Tākiri Mai - Kokiri Hauora framework, Tākiri Mai - Kokiri Hauora’s primary aim was to provide mana-enhancing and unconditional support to any person who requested it. Figure 8 Tākiri Mai Te Ata framework In turn, many people from the community who accessed support from Tākiri Mai - Kokiri Hauora have contributed to the ongoing response by helping with transportation of goods, donating goods such as kai and fruit trees, and generally giving their time. The community has come together. Some of the support that Tākiri Mai - Kokiri Hauora provided to the community included: Kai according to the size and needs of a whānau (provided on-site and delivered; including supplies for babies and or period products for wahine for instance)
23 Figure 9 Kai being collected and assembled into packs for whānau Supermarket vouchers so that whānau could purchase kai Support for people who could be particularly vulnerable to the effects of the virus or with long-term conditions Figure 10 Support included hanging out washing for kaumātua
24 Support with filling prescriptions for medication Flu vaccinations and pneumonia vaccinations; particularly for Kaumātua and people with conditions that made them vulnerable to poorer health or more vulnerable to the effects of COVID-19 Figure 11 Flu Immunisations were delivered to the door of whānau Support to pay power bills Larger food parcels for people having tangihanga
25 Figure 12 Packs ready to go and kaimahi in action Provision of blankets (around 350 were gifted by the Well Homes programme and the Rimutaka prison; and more were purchased by Tu Kotahi Māori Asthma and Research Trust and Tākiri Mai - Kokiri Hauora) Figure 13 14 Pictured left to right: Dina Awarau (Well Homes Programme Co-ordinator), Steve Luey (Manager Industries, Rimutaka Prison) and Cheryl Davies (Manager, Tu Kotahi Māori Asthma Trust) and some of the blankets given. Provision of clothing (for example, children’s pyjamas, socks, underwear)
26 Packs of sanitation goods so that whānau could keep their home environment clean and prevent the spread of germs Figure 15 Sanitation packs Linkage to health services and other agencies that could provide support to a person (e.g. community-based kaimahi had the opportunity to identify issues, like a person who was in poorer health) General support and encouragement for whānau of all ages who were stressed or isolated. Figure 16 Support included hanging out Kaumātua washing and even our own Rangatahi helped Rangatahi were instrumental in supporting the Pataka Kai.
27 Pataka Kai – Kokiri Hauora One of the key activities of Tākiri Mai - Kokiri Hauora was to establish a Pataka Kai in Wainuiomata which has now found a permanent base at St Peter’s Church and Hall in Wise Street, Wainuiomata. During the pandemic, many Wellington foodbanks that are often staffed by older volunteers did not operate. For some whānau, there are barriers to accessing foodbanks and other practical supports of this kind. Strict criteria and limits on use are part of the protocols that many agencies as well as Work and Income New Zealand operate under. When people engaged with the Pataka Kai, Tākiri Mai - Kokiri Hauora did not want to present any barriers to access. Figure 17 Pataka Kai The Pataka Kai provided drop-in collection for kai as well as delivery of kai parcels and other kai items to whānau all around the Hutt Valley and Wellington. The kaupapa is different to that of a mainstream foodbank: it is a community resource which provides to the community and holds and upholds community resources so that many people can enjoy the resources that are already held within the community. The more permanent base at St Peter’s Church and Hall has a community space where people can socialise and enjoy a hot drink and something to eat, a stall of high quality clothing for people of all ages, an outdoor area that will provide seating and a community garden; as well as a large storehouse of kai, sanitary items, and household supplies that are provided to any person who requires support. Figure 18 Teresea Olsen General Manager
28 Providing a crucial distribution mechanism Tākiri Mai - Kokiri Hauora also provided a crucial distribution mechanism for resources made available by other local and central government entities. For example, a large volume of nutritious and appealing frozen meals were provided by the Ministry of Social Development. Tākiri Mai - Kokiri Hauora stored these frozen meals in commercial freezers and distributed them gradually to whānau. Tākiri Mai - Kokiri Hauora’s practical approach and knowledge of the community meant that this nutritious kai was provided in volumes that suited the limited freezer space that most households have. Figure 19 MSD frozen meals Reaching out to people with housing insecurity The outreach of Tākiri Mai - Kokiri Hauora to whānau who experienced housing insecurity and homelessness was noteworthy. They provided support to people who were housed in hotels and motels during lockdown. In some instances, Tākiri Mai - Kokiri Hauora assisted people who were rough-sleeping and had no house to stay in. Kai vouchers were provided to whānau enrolled in the Homelessness Prevention Service during lockdown with ongoing support to manage any healthy housing and tenancy issues. A proactive approach was taken with hotels and motels to identify the level of cooking facilities available to people. The contents and quantities of kai parcels and pre-cooked meals were changed accordingly.
29 Communication Channels Prior to COVID-19, Tākiri Mai - Kokiri Hauora did not regularly update their Facebook page, however, both Facebook and Zoom have been used daily over the past 7 months. Through Facebook, a 9am virtual karakia was provided to the community with important messages for the day and this still continues today. This communication channel provided Tākiri Mai - Kokiri Hauora with a way of reassuring people, encouraging people to contact them, using a free 0800 number, if they were hungry or needed support, and it was a useful way of reinforcing the Ministry of Health messages and how they applied to Māori. For example, some people in the community perceived that they should not go to a GP during the early stages of the pandemic, and Tākiri Mai - Kokiri Hauora reassured people that they should still seek medical help and that it was safe to do so. Impacts on tangihana and other changes during lockdown were constantly updated. It was not unusual for Tākiri Mai - Kokiri Hauora to be supporting whānau who did not have their own phone/cell phone, or who relied on cell phones with limited credit and data allowances. Social isolation was a common issue. Who accessed Tākiri Mai - Kokiri Hauora support? At hui, Tākiri Mai - Kokiri Hauora staff spoke about the ethnic background of people accessing their services prior to COVID-19 and during the pandemic response. After the introduction of COVID-19, kaimahi perceived that many more people who do not identify as Māori have engaged with Tākiri Mai - Kokiri Hauora. Large numbers of people from other ethnic backgrounds, European/Pākehā and Pacific peoples for instance accessed support from Tākiri Mai - Kokiri Hauora. This analysis provides some insight into the ethnic make-up of whānau accessing support in that time. It is important to note that ethnicity data was not recorded for every person who accessed Tākiri Mai - Kokiri Hauora support. Tākiri Mai - Kokiri Hauora did not have a relational database available to support and monitor their work during the early stages of the pandemic which made it challenging to consistently collect and link ethnicity and other demographic information to whānau interacting with Tākiri Mai - Kokiri Hauora. The lack of a relational database significantly limits Tākiri Mai - Kokiri Hauora’s monitoring and reporting and could make their day-to-day operations challenging. Information About Whānau The data collated in this report was collected in order to provide whānau with food/kai and sanitation packs during the COVID-19 alert level 4 and 3. What was collected evolved as the
30 response progressed and funders required further data. Verbal consent was given to collect the data as whānau needed to contact Tākiri Mai - Kokiri Hauora to initiate the delivery/pickup. Tākiri Mai - Kokiri Hauora collected a significant amount of information about whānau and individuals accessing support both to support their operational response while it was in progress, and to collate the information and reflect on the response for their own learning, that of other Māori providers and Whānau Ora collectives, as well as funding organisations and other entities interested in the health and social services sector. There were huge constraints on capacity of kaimahi to collect information as the primary drive was to compile and deliver packs. Though some whānau did come and pick up their own packs the vast majority were delivered so that is the foundation of this reporting. What was recorded in fact was the request for help and core information so Tākiri Mai - Kokiri Hauora could deliver on their request. Tākiri Mai - Kokiri Hauora demonstrated a lot of adaptability and resilience in promptly setting up Google Sheets workbooks to support their operational response and record information for later reporting and evaluation. In some instances, staff had little familiarity with using data Google Sheets. The following information was often collected: The person’s first and last name Their address Their phone number The support they received (e.g. a sanitation pack was delivered, a kai box was delivered, some kai from Remakery was provided) The date of the support The household size The makeup of the household in terms of age: Kaumātua (50+), Pakeke (19-49), Rangatahi (12-18 years), and Pepe and Tamariki (birth to 11 years). Some information is available in the workbooks about ethnicity and iwi, although this improved over time. As noted, the lack of access to a relational database and capacity of kaimahi to collect data hampered the ability of Tākiri Mai - Kokiri Hauora to systematically collect data about demographics and household make up from whānau accessing support. Some information was also recorded about health issues, stressors, or social issues that whānau experienced. While this information was not always recorded in great detail, Tākiri Mai - Kokiri
31 Hauora knew or got to know whānau needs with consistent contact and visits within their communities. Recording of data Google Sheets, workbooks and worksheets were used to collect information about whānau. Very good principles were used in collecting data: Information about the person or whānau was recorded in rows. Key information such as support, household size, date, phone number etc was collected in columns. Good guidelines were used for recording information about whānau and storing this systematically (e.g. household size, and then number of kaumatau, pakeke, rangatahi, and pepe/tamariki). There were several workbooks, this created some challenges in structuring workbooks and logging information for easy batching or analysis throughout the response, or later on during reporting and evaluation. It would be helpful for Tākiri Mai - Kokiri Hauora to have some in- organisation support over a period of time until they have revised their strategy for data storage and reporting in the longer-term. On 17th September 2020, four workbooks of information were provided to the Department of Public Health (University of Otago, Wellington) for analysis. These work books were protected and a confidentiality agreement was signed in order to protect whānau data. The sheets provided were: 1. Delivery of sanitation packs 2. MSD kai 3. Remakery kai deliveries 4. Pataka Kai Deliveries (only partial data) At the beginning of November Tākiri Mai - Kokiri Hauora kaimahi added all further data relevant to the response from March to the end of June. Having a picture of the full three-month period was deemed a priority. To support this research additional data sheets were added of: 5. Pataka Kai Deliveries (all data to the end of June) 6. Flu vaccinations
32 7. Kohanga deliveries 8. Flu Immunisation In the deliveries workbooks listed above, many whānau received support on more than one occasion. There was not enough capacity in this particular project to restructure all of the data to reveal exactly how much support was provided to the community through these channels. The approach of Tākiri Mai - Kokiri Hauora was to provide proactive support and a holistic response. This means that many whānau who received sanitation packs also received kai parcels or other kai or supplies (and vice versa). While all of the data could not be looked at in-depth, it is likely that this analysis provides useful insights into Tākiri Mai - Kokiri Hauora’s overall response Scope of the analysis Each workbook had a different structure. Within the allocated time, it was most straightforward to firstly focus on each workbook and reformat the data as needed and produce some key analyses. This was also a good first step because the workbooks collected different information in different formats at times. It was not feasible in this time to provide a really comprehensive dataset that included the people who featured in all of the separate datasets and drew together the different kinds of support each whānau was provided with. With further resource, it will probably be possible to develop a multi- faceted dataset of the support provided to each whānau. Note that there could still be data gaps for some whānau (e.g. ethnicity, household size). This report focuses on: 1. An analysis of the delivery of sanitation packs 2. An analysis of Pataka Kai deliveries 3. An analysis of kai provided by MSD 4. An analysis of Remakery kai deliveries 5. An brief analysis of Flu Immunisation and 6. Kokanga deliveries are reported An events-based approach rather than a whānau-based approach Related to the points about not having a relational database, the following analyses usually takes an events-based approach. It was more feasible to focus on all the events of support (which included
33 whānau and individuals who accessed a mix of support or the same kind of support multiple times) rather than doing calculations on information about “unique whānau” or “unique individuals”. When aggregated together, this initial analysis still provides a detailed picture of the suburbs and areas that Tākiri Mai - Kokiri Hauora supported as well as the diverse household types that were supported and it provides insights into the need of the community and breadth of Tākiri Mai - Kokiri Hauora marae’s response. Evaluation questions that guided the analysis Broad questions were posed to guide the analysis, and these were tailored according to what was in the workbook/spreadsheet. What was the “size and breadth” of Tākiri Mai - Kokiri Hauora’s response? What was the geographic spread of whānau who received support? How many people who were homeless or in emergency housing were supported by Tākiri Mai - Kokiri Hauora? What was the ethnic and cultural makeup of people supported by Tākiri Mai - Kokiri Hauora? Which iwi did Māori identify with? Data reformatting and cleaning Data from the original worksheets were copied and reformatted into Microsoft Excel so that they were amenable to analysis using formulas and the Pivot Table function in Excel. In some instances, it was necessary to check entries of data for extra spaces after words or numbers so that seemingly identical terms would not be treated as different entries. For example, if a space was entered after the town name ‘Wainuiomata’ this would be treated as a different entry when doing a Pivot Table analysis. Several checks were run on spelling of place names and the correspondence of suburb with town (e.g. Naenae should be classified as being in the town of Lower Hutt and not Wellington). In some instance only the street was given and the town, so the suburb was manually searched in Google maps. Additional columns were created for ethnicity and iwi to clearly count the number of whānau identifying with different iwi and ethnic groups. Ethnicity was coded according to level 1 in the Statistics New Zealand 2005 classification system.1 Tākiri Mai - Kokiri Hauora staff appraised iwi data. 1 Information about the Stats NZ ethnicity classification can be found on this webpage http://archive.stats.govt.nz/methods/classifications-and-standards/classification-related-stats- standards/ethnicity.aspx#gsc.tab=0
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